Syndrome, Down
A common chromosome disorder due to an extra chromosome number 21 (trisomy 21). Down syndrome causes mental retardation, a characteristic face, and multiple malformations. Down syndrome is a relatively common birth defect. The chromosome abnormality affects both the physical and intellectual development of the individual. Down syndrome causes mental retardation, a characteristic facial appearance, and multiple malformations. It is associated with a major risk for heart malformations, a lesser risk of duodenal atresia (part of the small intestines is not developed), and a minor but still significant risk of acute leukemia. The chromosome abnormality that causes Down syndrome is trisomy 21, a extra copy of chromosome number 21. This means that instead of having the normal 2 copies of chromosome number 21, the person with Down syndrome has 3 copies of chromosome number 21. Confirmation of such a condition requires a chromosome study (analysis under the microscope of the chromosomes). A chromosome study is also valuable to rule in or out a translocation (a type of rearrangement) of chromosome 21 that can be heritable in which case it can give rise to more cases of Down syndrome in the family. The evaluation of the Down syndrome baby and the family by a medical geneticist is often useful. In Down syndrome there are certain characteristic features in the appearance which may individually be quite subtle but together permit a clinical diagnosis of Down syndrome to be made at birth. These signs of Down syndrome include slight flattening of the face, minimal squaring off of the top of the ear, a low bridge of the nose (lower than the usually flat nasal bridge of the normal newborn), an epicanthal fold (a fold of skin over top of the inner corner of the eye, which can also be seen less frequently in normal babies), a ring of tiny harmless white spots around the iris, and a little narrowing of the palate. There are many, many more minor malformations in Down syndrome. Down syndrome is also associated with a number of major malformations. For example, approximately a half of Down syndrome children are born with a heart defect, most often a hole between the two sides of the heart. For another example, Hirschprung's disease (congenital aganglionic megacolon) which can cause intestinal obstruction occurs more frequently in children with Down syndrome than in other children. The intellectual handicaps in Down syndrome are often the most important problem. These handicaps may not be evident in early infancy. However, they tend to become increasingly noticeable later in infancy and during childhood as developmental delay. In adults with Down syndrome, the intellectual handicap is manifest as mental retardation. Very few adults with Down syndrome can lead independent lives because of their mental retardation. It was once thought that nearly all adults with Down syndrome developed Alzheimer disease (dementia) so that on top of their mental handicap most people with Down syndrome were slated for premature senility. However, it now appears that a much lower proportion, perhaps 20 to 25%, of Down's adults develop dementia. The majority of adults with Down syndrome may thus be spared this fate.

Medical dictionary. 2011.

Look at other dictionaries:

  • Syndrome de down — « trisomie 21 » redirige ici. Pour les autres significations, voir Trisomie 21 (groupe) …   Wikipédia en Français

  • Down syndrome — Down syn drome, Down s syndrome Down s syn drome, n. (Med.) A congenital disorder caused by an extra chromosome 21 in some or all cells. It causes a variable number and degree of abnormalities, including retarded growth, mental retardation, a… …   The Collaborative International Dictionary of English

  • Down's syndrome — Down syndrome Down syn drome, Down s syndrome Down s syn drome, n. (Med.) A congenital disorder caused by an extra chromosome 21 in some or all cells. It causes a variable number and degree of abnormalities, including retarded growth, mental… …   The Collaborative International Dictionary of English

  • Down syndrome — A common chromosome disorder due to an extra chromosome number 21 (trisomy 21). Down syndrome causes mental retardation, a characteristic face, and multiple malformations. Down syndrome is a relatively common birth defect. The chromosome… …   Medical dictionary

  • Syndrome, trisomy 21 — A common chromosome disorder, often called Down syndrome, due to an extra chromosome number 21 (trisomy 21). The chromosome abnormality affects both the physical and intellectual development of the individual. Trisome 21 (Down) syndrome is… …   Medical dictionary

  • Syndrome de Down — « trisomie 21 » redirige ici. Pour les autres significations, voir Trisomie 21 (groupe). Syndrome de Down Classification et ressources externes …   Wikipédia en Français

  • Down syndrome — noun a congenital disorder caused by having an extra 21st chromosome; results in a flat face and short stature and mental retardation • Syn: ↑mongolism, ↑mongolianism, ↑Down s syndrome, ↑trisomy 21 • Hypernyms: ↑trisomy, ↑birth defect, ↑ …   Useful english dictionary

  • syndrome — syndromic /sin drom ik/, adj. /sin drohm, dreuhm/, n. 1. Pathol., Psychiatry. a group of symptoms that together are characteristic of a specific disorder, disease, or the like. 2. a group of related or coincident things, events, actions, etc. 3.… …   Universalium

  • Syndrome de west — Le syndrome de West, aussi connu sous le nom de spasmes infantiles, est une forme rare d épilepsie du nourrisson. Nommé d après le docteur anglais, William James West (1793 1848), qui le premier en a fait la description dans un article publié… …   Wikipédia en Français

  • Down Syndrome Centre — is a registered Irish charity that was set up in 2002 by parents of children with Down syndrome. The aim of the charity is to establish Ireland’s first centre to provide a range of dedicated services medical, developmental and educational which… …   Wikipedia

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